Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model

To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. In this study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet...

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Vydané v:Clinics in orthopedic surgery Ročník 10; číslo 1; s. 99 - 110
Hlavní autori: Liu, Xiao Ning, Yang, Cheol-Jung, Kim, Ji Eui, Du, Zhen Wu, Ren, Ming, Zhang, Wei, Zhao, Hong Yu, Kim, Kyung Ok, Noh, Kyu-Cheol
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Korea (South) The Korean Orthopaedic Association 01.03.2018
대한정형외과학회
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Abstract To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. In this study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors . The ultimate load-to-failure was significantly higher in RPB group compared to RS group ( = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications.
AbstractList To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC.BACKGROUNDTo evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC.In this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro.METHODSIn this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro.The ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP.RESULTSThe ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP.Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications.CONCLUSIONSLocally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications.
To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. In this study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors . The ultimate load-to-failure was significantly higher in RPB group compared to RS group ( = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications.
Background: To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the composition of growth factors in BMAC. Methods: In this in vivo study, 40 rabbits were allocated into five groups: control (C), repair + saline (RS), repair + platelet-rich plasma (PRP; RP), repair + BMAC (RB) and repair + PRP + BMAC (RPB). A tear model was created by supraspinatus tendon transection at the footprint. Six weeks after transection, the torn tendon was repaired along with BMAC or PRP administration. Six weeks after repair, shoulder samples were harvested for biomechanical and histological testing. Ten rabbits were used for processing PRP and BMAC, followed by analysis of blood cell composition and the levels of growth factors in vitro . Results: The ultimate load-to-failure was significantly higher in RPB group compared to RS group (p = 0.025). BMAC-treated groups showed higher values of biomechanical properties than RS group. The histology of BMAC-treated samples showed better collagen fiber continuity and orientation than RS group. BMAC contained significantly higher levels of the several growth factors than PRP. Conclusions: Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. KCI Citation Count: 0
Author Du, Zhen Wu
Kim, Kyung Ok
Zhang, Wei
Noh, Kyu-Cheol
Kim, Ji Eui
Zhao, Hong Yu
Ren, Ming
Liu, Xiao Ning
Yang, Cheol-Jung
AuthorAffiliation Gachon Medical Research Institute, Gil Medical Center, Gachon University, Incheon, Korea
Department of Orthopedic Surgery, The Armed Forces Daejeon Hospital, Daejeon, Korea
Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China
Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
AuthorAffiliation_xml – name: Gachon Medical Research Institute, Gil Medical Center, Gachon University, Incheon, Korea
– name: Department of Orthopaedic Surgery, The Second Hospital of Jilin University, Changchun, China
– name: Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
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Issue 1
Keywords Bone marrow
Platelet-rich plasma
Rotator cuff
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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대한정형외과학회
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Snippet To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize the...
Background: To evaluate the influence of bone marrow aspirate concentrate (BMAC) on tendon-to-bone healing in a rabbit rotator cuff model and to characterize...
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StartPage 99
SubjectTerms Animals
Arthroplasty
Biomechanical Phenomena
Bone and Bones - physiopathology
Bone Marrow - metabolism
Chronic Disease
Disease Models, Animal
Elastic Modulus
Insulin-Like Growth Factor I - metabolism
Male
Original
Platelet-Derived Growth Factor - metabolism
Platelet-Rich Plasma - metabolism
Rabbits
Rotator Cuff Injuries - pathology
Rotator Cuff Injuries - therapy
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Tendons - physiopathology
Transforming Growth Factor beta1 - metabolism
Vascular Endothelial Growth Factor A - metabolism
Wound Healing
정형외과학
Title Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model
URI https://www.ncbi.nlm.nih.gov/pubmed/29564054
https://www.proquest.com/docview/2017054648
https://pubmed.ncbi.nlm.nih.gov/PMC5851862
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Volume 10
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